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Mr. Jacob Gregory Huseman
Psychiatric/Mental Health Nurse Practitioner in East Chicago, Indiana
NPI 1699318899

Jacob Gregory Huseman is a Psychiatric/Mental Health Nurse Practitioner based in East Chicago, IN and is specialized in Psychiatric/Mental Health. Jacob Gregory Huseman practices in East Chicago, IN. The NPI Number for Jacob Gregory Huseman is 1699318899 and holds a License No. 71009696A (Indiana).

The current practice location address for Jacob Gregory Huseman is 4321 Fir St, East Chicago, IN and can be reached out via phone at 219-703-1764.

Location: 4321 Fir St, East Chicago, IN, 46312-3049
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699318899
Provider Name
Jacob Gregory Huseman
Credential
Provider Entity Type
Individual
Gender
Male
Address
4321 Fir St, East Chicago, IN, 46312-3049
Phone Number
219-703-1764
Fax Number
Provider Enumeration Date
10/21/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4321 Fir St
City
East Chicago
State
Indiana
Zip
46312-3049
Phone Number
219-703-1764
Fax Number
person
Provider Business Mailing Address Details
Address
4321 Fir St
City
East Chicago
State
Indiana
Zip
46312-3049
Phone Number
219-703-1764
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
71009696A (Indiana)
Definition
Definition to come...
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